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目的回顾性分析前置胎盘产后出血的临床诊疗方法。方法回顾性分析2014年10月至2015年10月在我院接受分娩并出现产后出血的190例产妇,将其随机分为常规组和实验组。常规组采用宫腔内填塞纱条的方式进行治疗;实验组产妇采用水囊填塞宫腔的方式进行治疗。分析前置胎盘产后出血患者的主要影响因素,对比两组产妇治疗效果。结果 (1)前置胎盘产后出血患者的影响因素:经过回顾性研究发现,两组患者的平均年龄显示均为高龄产妇,并且其中有123例产妇为二次分娩;(2)两组产妇的各项指标对比:经过不同方式的治疗后,实验组产妇的手术操作时间、止血所需时间以及术后24h的出血量均显著优于常规组,三组数据差异具有统计学意义(P<0.05)。结论前置胎盘产后出血与产妇的年龄及分娩次数有着直接的联系,宫腔水囊填塞治疗产后出血的临床显著,能够作为常规治疗手段,值得临床借鉴。
Objective To retrospectively analyze the clinical diagnosis and treatment of placenta previa. Methods Retrospectively analyzed 190 maternal women who received delivery and had postpartum hemorrhage in our hospital from October 2014 to October 2015 and were randomly divided into routine group and experimental group. In the conventional group, intrauterine stuffing sliver was used for treatment. In the experimental group, the maternal women were treated with water bag stuffing the uterine cavity. Analysis of the main influencing factors of prepartal placental hemorrhage patients, compared the two groups of maternal treatment effect. Results (1) Influencing factors of patients with postpartum hemorrhage in placenta previa: After a retrospective study, the average age of the two groups of patients were all shown as advanced maternity and 123 maternal secondary deliveries; (2) Comparison of various indicators: After different treatment methods, the experimental group maternal operation time, bleeding time and 24h postoperative bleeding were significantly better than the conventional group, the difference between the three groups was statistically significant (P <0.05 ). Conclusion The postpartum hemorrhage of placenta previa has a direct relationship with the age of maternal age and number of deliveries. The treatment of postpartum hemorrhage by intrauterine aqueduct is clinically significant and can be used as a routine treatment, which is worthy of clinical reference.